[Late post-partum hemorrhage after cesarean section due to rupture of a false aneurysm of the uterine pedicle].
We report a recent case of late post-partum hemorrhage attributed to a consecutive aneurysm breaking in the uterine cavity. Childbirth by cesarean section was the main cause of the consecutive aneurysm which was maintained by a wound from the uterine vessels. The diagnosis was confirmed by the angiography. This procedure permits treatment by fistula embolization with decreased morbidity, while preserving future prospects of pregnancy. Consecutive aneurysm is of an unknown etiology and not as rare as commonly thought. Wounds of the uterine vessels caused by cesarean section may occur spontaneously.
Sergent
F
F
Clinique Gynécologique et Obstétricale, CHU, Rouen.
Clavier
E
E
Rachet
B
B
Marpeau
L
L
D000328:Adult; D017541:Aneurysm, False / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D017542:Aneurysm, Ruptured / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D000792:Angiography; D002585:Cesarean Section / Q000009:adverse effects*; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D019106:Postoperative Hemorrhage / Q000209:etiology*; D011247:Pregnancy; D011644:Puerperal Disorders / Q000209:etiology*; D014592:Uterine Hemorrhage / Q000209:etiology*; D014599:Uterus / Q000098:blood supply* / Q000293:injuries
Hémorragie tardive du post-partum après césarienne par rupture de faux anévrisme du pédicule utérin.